Evidence map›Paper›PMID 34326463›Full record

ArticleSpinal cord2022

Effects of hyperbaric oxygen therapy on postoperative recovery after incomplete cervical spinal cord injury.

Zhiwu Zhang, Qian Li, Xiang Yang, Bin Li, Yijun Zhou, Tianye Hu, Jiajun Yuan, Ping Dong

Abstract read
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In one paragraph

Article in Spinal cord, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Advance in hyperbaric oxygen therapy in spinal cord injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2024
    Review
  6. Review
  7. Article
  8. Spinal cord injury: molecular mechanisms and therapeutic interventions.Signal transduction and targeted therapy · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Zhiwu Zhang *Shulan Hangzhou Hospital, Hangzhou, China. zhiwu.zhang@shulan.com.ORCID http://orcid.org/0000-0002-2762-0854
Qian Li *Shulan Hangzhou Hospital, Hangzhou, China.ORCID http://orcid.org/0000-0002-2744-9399
Xiang YangShulan Hangzhou Hospital, Hangzhou, China.
Bin Li *People's Liberation Army 903rd Hospital, Hangzhou, China.
Yijun ZhouShulan Hangzhou Hospital, Hangzhou, China.
Tianye HuShulan Hangzhou Hospital, Hangzhou, China.
Jiajun YuanShulan Hangzhou Hospital, Hangzhou, China.
Ping DongPeople's Liberation Army Hangzhou Sanatorium, Hangzhou, China.
Hangzhou Red Cross Hospital · CN117th Hospital of People's Liberation Army · CNZhejiang Shuren University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective study of incomplete cervical spinal cord injury (SCI) treated with and without hyperbaric oxygen (HBO) therapy after operation.

objectiveTo investigate the effects of hyperbaric oxygen therapy on patients' postoperative recovery after incomplete cervical spinal cord injury.

settingShulan Hangzhou Hospital, Hangzhou, China.

methodsWe analyzed the clinical data of 78 patients admitted in the Orthopedic Department of our hospital from June 2014 to June 2016, due to trauma-induced incomplete cervical spinal cord injury. All study subjects underwent nerve decompression and internal fixation procedures within 2 weeks of injury. The patients were divided into hyperbaric oxygen therapy (HBO) group (n = 40) and non-hyperbaric oxygen therapy (NHBO) group (n = 38) according to the chosen treatment option. The NHBO group only receive the conventional treatment regimen while the HBO group received a combination of conventional treatment and hyperbaric oxygen therapy. The subsequent changes in spinal functions and activities of daily living (ADL) were assessed by The American Spinal Injury Association (ASIA) scale and the Barthel Index at different time points (pretreatment, 1 month and 3 months of treatment, as well as 6 months, 1 year, 2 years, and 3 years after the surgical procedure).

resultsThere were no significant differences in age, gender, injury site, and disease condition between patients (p > 0.05). The results showed a significant difference in treatment total effectiveness rate between the HBO and NHBO groups (p < 0.05) (90% and 78.9%, respectively). Analyses of the ASIA scores and Barthel indices between the two groups indicated significant differences at 1 month and 3 months treatment time points, as well as 6 months and 1 year after the initial operation (p < 0.05). It showed that subjects in the HBO group had a better recovery than their NHBO counterparts, with the 1-month treatment time point being the most significant. In addition, the results indicated significant improvements in Barthel Index scores as well as ASIA sensory and motor function scores in both groups after a 1-month treatment, with the HBO group faring significantly better than the NHBO group (p < 0.01).

conclusionsOur results not only showed that hyperbaric oxygen therapy is safe and effective for the treatment of incomplete cervical spinal cord injury but also indicated that the longer the treatment lasts (therapy initiation within 3 months after the surgical operation), the better the effects. In addition, a correct hyperbaric oxygen therapy leads to a peak in recovery within the first postoperative 3 months and can effectively promote spinal cord functions, reduce the disabilities, and improve patients' quality of life.

Indexed as

Cervical CordHyperbaric OxygenationSpinal Cord InjuriesActivities of Daily LivingHumansQuality of LifeRetrospective StudiesSpinal Cord

Identifiers

PMID34326463
OpenAlexW3186758822

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.